Nurs 5338 exam Mod 2 Pretest University Of Texas
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, Nurs 5338 EXAM 09/30/2026
A nurse is caring for a preschool-age client who was admitted for dehydration. The child lives with the parents
and maternal grandparents. In which of the following types of family does this child reside?
A) Blended family
B) Extended family
C) Two-career family
D) Nuclear family - Correct Answer :Answer: B
In some cultures and as people live longer, more than two generations may live together in an extended setting.
A two-career family is one where both partners are employed. A blended family occurs when existing family units
join together to form new families. A nuclear family is viewed as an autonomous unit in which both parents
reside in the home.
During a home visit, the nurse determines that care interventions are needed to address alcohol and substance
abuse by family members. Which interventions should the nurse consider when planning care for this family?
Select all that apply.
A) Suggest grief counseling.
B) Evaluate family members' potential for being a danger to self or others.
C) Suggest engaging in educational activities.
D) Be alert to behaviors that indicate sibling jealousy.
E) Recommend community resources to assist with substance abuse behavior. - Correct Answer :Answer: B, E
For the family with alcohol or substance abuse, the nurse should evaluate family members' potential for being a
danger to self or others and recommend community resources to family members to help with substance abuse
behaviors. Grief counseling would be appropriate for the family who has suffered a loss of a family member.
Educational activities and being alert to sibling jealousy would be appropriate for the antepartum or postpartum
family
During a follow-up home visit, the nurse is evaluating the success of a family's ability to use internal resources to
cope with the illness of a family member. Which observations by the nurse indicate that internal resources are
being accessed? Select all that apply.
A) Next-door neighbor helping with family chores
B) Effective communication pattern
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C) Skill in providing care to the ill family member
D) Church members stopping by with groceries
E) Center for Aging picking up the family member to take her to a physician's appointment - Correct Answer
:Answer: B, C
External support systems promote coping and adaption and include friends, religious affiliations, and community
resources. Internal resources include effective communication patterns and knowledge or skills to assist in the
family problem-solving process
A pediatric home healthcare nurse is making an initial visit to assess the parenting style of a family preparing to
treat a child with medications to reduce hyperactivity. Which approach should the nurse use for this assessment?
A) Ask the parents, "How do you handle situations that require limit setting?"
B) Ask the child, "What rule is hardest for you to obey?"
C) Observe the parent interacting with the child for 5 minutes.
D) Ask the parents, "What are the house rules?" - Correct Answer :Answer: A
Parental styles are best assessed while the family explains how it handles situations that require limit setting. A
less complete picture of parenting style is obtained during a brief artificial observation. Asking the child which
rule is hardest for him or her to follow will not give the nurse insight into parenting styles. Learning about rules is
less helpful than is an explanation of enforcement efforts and success.
The community nurse identifies that a family new to the community needs assistance with family dynamics and
material resources. Which of the following should the nurse consider offering to the parents of this family to
support their needs? Select all that apply.
A) A list of free counseling services to assist with parental stress
B) Hours of the local health clinic
C) Location of the community library
D) Location of the community co-op food bank
E) Hours when the park is open - Correct Answer :Answer: A, B, D
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When working with families, nurses will often need to collaborate with other healthcare professionals. For
families in need of counseling, financial assistance may be available. When making these recommendations,
nurses should be aware of some stigmas surrounding therapy and counseling, and work to assure families of the
potential benefits of these modes of care. Families facing economic challenges should be made aware of
community resources, including wellness clinics and food banks. The hours for the library and the park would not
help the family with the issues that the nurse observed.
The nurse educator is teaching a group of students about health promotion and disease prevention. Which
nursing activities promote health and health maintenance? Select all that apply.
A) Helping a mother determine a daily feeding schedule for her infant
B) Teaching a school-age child how to use dental floss
C) Teaching parents how to perform pulmonary drainage and cupping on their ill child
D) Treating a child diagnosed with pneumonia
E) Administering the flu vaccine for an infant who is 9 months of age - Correct Answer :Answer: A, B, E
Administering flu vaccines, discussing feeding schedules, and instructing children about the use of dental floss
are all health promotion and/or maintenance topics. Treatment of pneumonia would not be a topic for health
promotion and maintenance, as pneumonia is an acute illness. Teaching parents how to perform pulmonary
drainage and cupping on their ill child is not considered health promotion and maintenance because it is
treatment for acute illness.
The nurse is determining psychosocial risk factors for a family prior to planning care. Which assessment tool
should the nurse use when initially screening families for these health risks?
A) The Friedman Family Assessment Tool
B) The Family Ecomap
C) The Home Observation for Measurement of the Environment (HOME)
D) The Family APGAR - Correct Answer :Answer: D
The Family APGAR is a quick five-item questionnaire that may be used as an initial screening tool for family
assessment. All other choices are family assessment tools but are not appropriate for initial family assessments.
The nurse is observing a family counseling session that is focusing on the family members' communication
patterns. Which observation indicates that there are existing or potential problems with family communication?
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